MATH MARVELS SUMMER CAMP REGISTRATION FORM
http://flynnwikiworld.wikispaces.com/Math+Marvels+-+Summer+camp+2015




Student Name ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­

Parent Name _

Parent Phone & E-Mail_

Student’s Grade in 2015-2016 school year__

Which grade level would you like to join? Circle one.
(all classes run on Tuesday and are one hour in length)
  • o 1st grade – 1:00 – 2:00
  • o 2nd grade – 2:00 - 3:00
  • o 3rd grade – 3:00 – 4:00
  • o 4th grade – 4:00 – 5:00
  • o 5th grade – 5:00 – 6:00

CHOOSE YOUR WEEKS X $35.00 PER WEEK
Week 1 – July 7th


Week 2 – July 14th


Week 3 – July 21st


Week 4 – July 28th


Week 5 – August 3rd


Week 6 – August 10th


Week 7 – August 17th


Initial material fee

$5.00

Commit to all 7 weeks and receive a $10 discount off the total. (must pay total at registration)
Commit to 4 weeks and receive a $5 discount off the total. (must pay total at registration)
Sibling discount: $30 per week

Or you can pick your weeks and pay as you go.

Total number of weeks: _ X $35 ($30 for siblings) = .00
Initial material fee + 5.00

Total: .00
Apply Discount (if applicable) Minus .00

Total Amount Enclosed: .00

Check may be made payable to:
Terri Flynn
707 Ramapo Valley Road
Mahwah, NJ 07430
201-644-7001
CELL 845-537-0266

DOWNLOAD PRINTABLE VERSION - SEE LINK AT THE TOP OF THE PAGE